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<br />II ' <br />::ff",l=a2 ~INiiEMNI1'YBOND -poR-:- i..OSTINST~UME~T~-(S~~~-2~~:OJ~3~:~;.~;~ N. n. c. c.) <br />iii .. .. - - <br />INDEMNITY BOND ON LOST INSTRUMENT <br /> <br />~5~~5 <br /> <br />OLalC QAZn-rI[.WAH"UOH.. N.D. <br /> <br />L <br />I <br />II <br />II <br />I' <br />II <br />I' <br />Ii <br />II <br />II <br />:; <br />II <br />!I <br />!, <br />II <br />" <br />Ii <br />11 <br />II <br />I <br />i <br />I <br />ti <br />I: <br />, <br />:! <br /> <br />ii <br />I' <br />:i <br />il <br />" <br />i; <br />i; <br />1I <br />ij <br />'[ <br />" <br /> <br />Where as,-........~~~~.~~.~...~.~~~.:...~...~~.~.:.~~_...m.m_..._...oo-.--........ooo.........oon........hereinafter d esigna ted as claimant, <br /> <br />claims to be the owner and entitled to the payment of a certain..~.t..~.~.~...~~?1<:...~.~~.~.~..j!'?'~.~.?'~.............h......h...h........ <br /> <br />da ted..___..J?E2f.~.l}!P'g.~.)JLlQQL..........n...m. ....m_".....mm d u e........!?~.~~.~~~.:...~.~:....?~g.?......................__...............__........... <br /> <br />p a ya bl e to.... ....~?~.~.:':~:...~~.~.~=...~...~.~.=:.~.~..............m.._.~... "$"65...34.00.....000..--......000...-..........................................h..........oo... <br />Sixty-five and 34/100------------~----------------------------------- <br /> <br />fo r th e sum 0 t.. ............. n..................... ........_.. ..h.. ........_......_........... m ........__......... ........... m....... ........ ... m. .h.. .__..".__00...... Doll a rs, <br /> <br />execu ted by ........g ~.Ej.~..S;g.~g.~.y._.Q<?.~.~E~!!1,~~):.m....m__........ ....m.....m..........._...................m.........mm.........__m.m........__.._........ <br /> <br />but is unable to produce or surrender said instrument upon such payment on account of its loss, destruction, or <br /> <br />otherwise. <br /> <br />N OW, TH EREFO RE, If........A\g~~.~.:!:?.._1'.~):.~.~...~.._~_~.~~~~.....m............ooo.---........m........................ooo.......hereinafter <br /> <br />designated as obligee, will payor cause to be paid to said claimant, or order, the amount demanded by him by virtue <br />thereof, we, the undersigned, do jointly and severally promise, undertake and agree to and with said obligee his or <br />its successors, heirs, administrators and assigns, that we will save said obligee, his or its successors, heirs, administra- <br />tors and assigns, harmless from any and all claims of any person or persons in and to said instrument, or to the pay- <br />ment thereof, in whole or in part, and from any -and all damages, remote or proximate, sustained by virtue of said <br />payment, including all attorney's fees, costs, expenses, charges, or liabilities assumed, incurred or expended, and will Ii <br />at any time upon 'demand payor cause to be paid to said obligee, in addition thereto, the amount so paid to said " <br />claimant by said obligee with accrued interest thereon from the date of such payment at the rate OL___h.....per cent I: <br />per annum and undertake and perform any and all steps, actions or proceedings which said obligee may deem necessary Ii <br />or requisite to save said obligee harmless from further liability, cost, expense or damage in the premises. <br /> <br />Dated thiL__m.......Jlth...m............_.~....~._..:... da y oL.......oooA!l.&!-!:'?t.. .?QQ!?....-........m.m. <br />) ... .....--. ...... _....... ................ ...... ..m ................. ....... .......... (S EAL ) <br /> <br />--. .~~~~ ~~~~~~~~~..~ ~~~~~~ ~~ ~ ~~~~~~~~~~~~~~~~~:~::~: ~~:~:~~~~ ~~::~~::~~:~:~~~~~~:::~::::: ~~ ::~~ ~::::~::~::: :~~:: ~: :~~; <br /> <br />ii <br />II <br />11 <br />" <br />,: <br />i! <br />Ii <br />if <br />!I <br />II <br />!i <br />!I <br />Ii <br />" <br />II <br />II <br />I, <br />II <br />II <br />II <br />'I <br />II <br />I, <br />i! <br />" <br />'i <br />i <br />I <br />I <br /> <br />II <br /> <br />I' <br />q <br />II <br />II <br /> <br />" <br />II <br />ii <br />ii <br />/! <br />l! <br />II <br />I. <br />Ii <br />I' <br />:i <br />Ii <br /> <br />It <br />" <br />I: <br />;1 <br />iI <br />" <br />d <br />" <br />i' <br />,! <br />il <br /> <br /> <br />Ii <br />!I <br />" <br />:1 <br />I, <br />il <br />,I <br />ii <br /> <br />'i <br /> <br />]\ <br />Ii <br />'I <br />, <br />\1 <br />Ii <br />II <br />Ii <br />ii <br />\l <br />!! <br /> <br />C:U:~;:._~.~..=:~__:ooo..m......m..) ss. <br /> <br />On this...........-....-!-31;fi...........m..._........___.....day of...m......A.ugu.st..200.8...m...........__....in the year ........, before me, <br /> <br />p erso n a II yap pea red...... .... ..Dean. 00 A., mR:i:n4~...... ................ ..... ....... .......__... ............ ._.... ...'h.__... ...... m........................... __.... ...... h. <br /> <br />an d__.......... ..... ......... ....... ..... ............. ...."00".. .--......... ............ ...... ...... .... .......... m .._... ....... ..... ..... ........ ...... ...... ........ on...... ..__... m. ......... <br /> <br />known to me to be the persons who are described in and Whacuted the within nstr ment'g who, each for <br />himself, personally a k ted t satfJ <br />C~~t~~f~~~~~~~;~'S . ....~.. ..m. . . .m.JfM.. ....m............m..... <br /> <br />My commission expi ~yeommission-BEpil'e&.Ju\l;.U;-2~).14 ....ooo...........m.................................................m........ ............... <br /> <br />STATE OF NORTH DAKOTA ) <br />County of..m..........__.......n...ooo......__.......... ss. <br /> <br />~.~.........-..._.----..._....-....._..__._--------_.._------------------...-......----....-------.........---..-......--......--....-------------..------....-......-..--------..---.............--..------..----......-------......--....------..-..-............-......--- <br /> <br />---..............._---- ----.---.. ------- ------------------- ----- ------ ---...... -..-..-------.... ---- -- --.... .....----------.... ----- -...._- -.. -...-------,o- ____.... _____.. ___________.. ___.... ____.._ _..___ _.. _..__...___..__________...._ ........ ............... <br /> <br />and...............ooom...m................mm..................ooo............m.......m.........being first duly sworn, upon oath, each for himself <br />doth say: The he is one of the sureties on, and who executed the within and foregoing bond. That he is a freeholder of <br />the State of North Dakota and a resident of the said County OL....m._..........._......_...._....___..._.............h..' North Dakota. <br />